MEDICARE: MS. GENEVIEVE SPRINKLE L AC, MSOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC00552	TX

General Provider Information

NPI Number	:	1770817223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GENEVIEVE SPRINKLE L AC, MSOM

Provider Business Mailing Address
First Line	:	4501 KLEBERG LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-6000
Country	:	US
Telephone Number	:	512-442-7003
Fax Number	:

Provider Business Practice Location Address
First Line	:	4501 KLEBERG LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-6000
Country	:	US
Telephone Number	:	512-442-7003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2009
Last Update Date	:	09/30/2009

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